HomeMy WebLinkAbout1235 BASSWOOD AVE; ; SE658181; PermitBUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
A
CITY
LICENSE NO. LICENSE NO.
TEL. NO. 73 - &/a I CONTRACTOR'S STATE CARLSBAD BUSINESS
OWNER'S
AUTHORIZATION
I HAVE AT THIS DATE CONTRACTOR TO CONN INO TO THE PUBLtC S
SIGNED THIS OWNER OR I OWNER'S AGENT
1
ADDRESS
I HEREBY AEKNOWL-GE THAT I HAVE RGAD THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED I AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD-AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY. SIGNATURE I OF PERMITTEE
PERMIT - APPLICATION
llRa 23-65" %1917*****5A!d0
I
TEL. NO. CITY I
CONNECTION DATA
Lateral Charge Computation
30' H., IO' V. @ 4" = __ 6" = -
Add. Horiz. @ 4" = __ 6" = ___
Add. Vert. @ 4" = __ = -
Total Construction Cost -//sT.bp
10% Service Charge //, 5-0
Total Lateral Charge
Lat. No.: Logged in Plat:
LINE COST DATA
A. 0. & Assmt. No. w
LINE COST: eqa 20 x4 -h&&Q
TOTAL QUb
- C. C. @a / dwelling
P. S. @- 1 dwelling
OTHER
,
Grand Total, Lateral, etc. srw
FOR SEWER LOCATION
u;/ /i
st. NORTH
ENGl NEERING SEWER DEPT. I Signed Signed
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By
PERMIT VALIDATION
mNG
PERMIT - APPLICATION
5PhI'o llllR 25-65 -~lm+*****Z2.Ld
GROUP
BUILDING DEPARTMENT 8 1.8;
ZONE
OWNER Ron Brckrpard
MAIL ADDRESS PI 0. Be
CITY Carl&& TEL. NO.
PLUMBER &R CUSta
ADDRESS 2%l A State St
c---
NO. ITEM - 3 . TOILET G3 $1.25
1 BATH TUB 48 1.25
4 WASH BASIN Q 1.28
1 , SHOWER 0 1.25
1 KITCHEN SINK 8 1.25
3. DISHWASHER 48 1.25
LAUNDRY TUB OR TRAY @ 1.25
CITY cahbad TEL. NO. 729 2318
STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. 208302 G266
FEE -3Yr m7
,r 0.2
1s /x ,' kj
I, , AUTOMATIC WASHER 8 1.25
I
1
1-111-1-
0 1.50
WATER HEATER & VENT
GAS SYSTEM 1 TO 1s .30 EA ADD.
PERMIT s 2100 NOa I TOTALFEE 0 a @ GRADING PLAN
I-. 1 I_
I-
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS R EGU LAT I NG PLUMB I NG.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-
SIGNATURE OF PERMITTEE
FLOOR DRAIN OR SINK 8 1.25 __
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING 8 1.50 -
GARBAGE DISPOSAL 0 1.00
VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 @ 2.00
APPROVALS DATE INSPECTOR*S SIONATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES I+ MISC.
61 GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance.
CITY OF CARLBAD
BUILDING DEPARTMENT
8lOi
FOR APPLICANT TO FILL IN I
SEWER
PERMIT - APPLICATION
PAID UAR 25-65 ?71955*******>.iO
LEGAL DESCRIPTION Lor NO
CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
-1 @* id-
PERMIT I TOTAL FEE
OWNER'S
AUTHORIZATION
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBE0 BUILD- ING TO THE PUBLIC SEWER.
SIGNED THIS - DAY OF OWNER OR OWNER'S AGENT
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
OWNER OF THE ERTY. SI GNATUR E OF PERMITTEE
CONNECTION DATA Lateral Charge Computation
3G' H., IO' V. @ 4" = __ 6" = ___
Add. Horiz. @ 4" = __ 6" = ___
Add. Vert. @ 4" = ___ 6" = ___
Total Construction Cost
10% Service Charge
Total Lateral Charge
Logged in Plat: Lat. No.: ____
LINE COST DATA
A. D. €i Assmt. No.
LINE COST:
C. C. @- / dwelling
P. S. @-- / dwelling
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION I<
NORTH ic0 St.
ENGINEERING SEWER DEPT.
Signed _____ I Signed
This is a fewer Permit When Properly Filled Out, Signed and Validaled
Issued By
PERMIT VALIDATION